Observational studyPediatric nephrology (Berlin, Germany)2021
Lung ultrasound methods for assessing fluid volume change and monitoring dry weight in pediatric hemodialysis patients.
Observational study in Pediatric nephrology (Berlin, Germany), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 17 citations in OpenAlex.
- Lung ultrasonography for assessment of fluid overload in children with acute kidney injury undergoing hemodialysis: a prospective pilot study.Pediatric nephrology (Berlin, Germany) · 2026Observational
- ESICM-ESPNIC international expert consensus on quantitative lung ultrasound in intensive care.Intensive care medicine · 2025Article
- Lung Ultrasound in Hemodialysis Patients-Which Protocol Is More Accurate and Informative in Daily Clinical Practice: A Systematic Review.Life (Basel, Switzerland) · 2025Review
- Assessment of volume status of pediatric hemodialysis patients.Pediatric nephrology (Berlin, Germany) · 2024Article
- Lung Ultrasound to Evaluate Fluid Status and Optimize Early Volume-Expansion Therapy in Children with Shiga Toxin-Producing Escherichia Coli-Haemolytic Uremic Syndrome: A Pilot Study.Journal of clinical medicine · 2024Article
- Association of Fluid Overload with Escalation of Respiratory Support and Endotracheal Intubation in Acute Bronchiolitis Patients.Journal of pediatric intensive care · 2024Article
- Evaluation of lung ultrasound to detect volume overload in children undergoing dialysis.Pediatric nephrology (Berlin, Germany) · 2023Article
- The role of lung ultrasonography in the assessment of overhydration in maintenance hemodialysis patients.Renal failure · 2022Observational
- Use of Point-of-Care Ultrasound for Evaluation of Extravascular and Intravascular Fluid Status in Pediatric Patients Maintained on Chronic Hemodialysis.Blood purification · 2022Observational
- Simplified 8-site lung ultrasound examination to assess fluid overload in children on haemodialysis.Clinical kidney journal · 2021Article
- Simplifying volume assessment with lung ultrasound in paediatric haemodialysis patients.Clinical kidney journal · 2021Article
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe value of lung ultrasound in adult hemodialysis has been confirmed. The determination of dry weight in children remains challenging. This study explores the usefulness of lung ultrasound in assessing fluid volume change and the possibility of pulmonary ultrasound as a method to monitor dry weight in pediatric dialysis patients.
methodsThis was a prospective observational study. We compared the predialysis and postdialysis B-line scores of the dry-weight group and non-dry-weight group. Changes in body weight and B-line scores were recorded during the dialytic period and interdialytic period, and the correlation was analyzed. Lung ultrasound was performed after the dialysis session every Friday, and B-line score < 10 was considered to indicate that there was no volume overload; the weight was recorded as the target weight.
resultsFourteen patients were included. A total of 78 ultrasound assessments were performed: 30 in the dry-weight group and 48 in the non-dry-weight group. The B-line scores decreased after dialysis in all patients (p < 0.001). Thirty-three assessments were performed in the interdialytic period, and 40 assessments in the dialytic period were performed within 1 week. Linear regression showed that changes in B-line number were directly and positively correlated with interdialytic weight gain (r = 0.517, p = 0.002) and dialytic weight loss (r = 0.558, p < 0.001). The weight of the children increased gradually without volume overload in two patients during follow-up.
conclusionLung ultrasound can assess the fluid volume change of pediatric dialysis patients in real time. Lung ultrasound could be a valuable method for monitoring dry weight in pediatric dialysis patients.
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